Query check CCI ICD10 Dialysis no Dx: Difference between revisions
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== Reality check == | == Reality check == | ||
* Collectors can you see a scenario where this would not be an error? If not, this could be added to [[Change Priorities]]. Ttenbergen 20:17, 2014 April 30 (CDT){{Potential Change}} | * Collectors can you see a scenario where this would not be an error? If not, this could be added to [[Change Priorities]]. Ttenbergen 20:17, 2014 April 30 (CDT){{Potential Change}} | ||
**codes 350 through 355 all pertain to ARF, however the other remaining codes are not correct, as they do not necessarily mean that dialysis is started [[User:Lkaita|Lisa Kaita]] 12:03, 2017 April 25 (CDT) | |||
=== ARF transfer considerations === | === ARF transfer considerations === | ||
* When a pt starts out in a community hospital and is given a diagnosis of ARF by the doctors, please do not code ARF unless dialysis is started there. Code ATN or ARI instead. If the pt is transferred to another center to start dialysis, the collector there will code ARF. When a pt with ARF from a tertiary hospital is transferred to a community hospital and no dialysis is needed there, the data collectors at the community hospital should not be coding ARF because the renal failure is resolving. They can code ARI. This is my understanding. Trish please let me know if this is the way you also see it. I believe the above information for integrity checks is wrong. --[[User:LKolesar|LKolesar]] 13:41, 20 July 2011 (CDT) | * When a pt starts out in a community hospital and is given a diagnosis of ARF by the doctors, please do not code ARF unless dialysis is started there. Code ATN or ARI instead. If the pt is transferred to another center to start dialysis, the collector there will code ARF. When a pt with ARF from a tertiary hospital is transferred to a community hospital and no dialysis is needed there, the data collectors at the community hospital should not be coding ARF because the renal failure is resolving. They can code ARI. This is my understanding. Trish please let me know if this is the way you also see it. I believe the above information for integrity checks is wrong. --[[User:LKolesar|LKolesar]] 13:41, 20 July 2011 (CDT) | ||
Revision as of 12:03, 25 April 2017
- 32 Intermittent Hemodialysis (even if pt goes to dialysis unit)
- 33 CRRT
- 34 Peritoneal Dialysis
CRF/ARF vs TISS28 items 32, 33, 34
dx implies TISS
Any
- ICU patient
- with LOS>3
- and dxs (350, 351, 352, 355, 356, 398, 450-499, 327, 357)
- who doesn't have (T33/34/35) in TISS28 is an error.
TISS implies dx
Any
- ICU patient
- with LOS>3
- and (T33/34/35) in TISS28
- who doesn't have one of dxs (350, 351, 352, 355, 356, 398, 450-499, 327, 357) is an error.
Reality check
- Collectors can you see a scenario where this would not be an error? If not, this could be added to Change Priorities. Ttenbergen 20:17, 2014 April 30 (CDT)Template:Potential Change
- codes 350 through 355 all pertain to ARF, however the other remaining codes are not correct, as they do not necessarily mean that dialysis is started Lisa Kaita 12:03, 2017 April 25 (CDT)
ARF transfer considerations
- When a pt starts out in a community hospital and is given a diagnosis of ARF by the doctors, please do not code ARF unless dialysis is started there. Code ATN or ARI instead. If the pt is transferred to another center to start dialysis, the collector there will code ARF. When a pt with ARF from a tertiary hospital is transferred to a community hospital and no dialysis is needed there, the data collectors at the community hospital should not be coding ARF because the renal failure is resolving. They can code ARI. This is my understanding. Trish please let me know if this is the way you also see it. I believe the above information for integrity checks is wrong. --LKolesar 13:41, 20 July 2011 (CDT)
Short stay patients, incl community hospitals
CRF/ARF patients may not receive dialysis if they are only there for a short time. That led to false=positives for the check, especially in community hospitals, so the restriction of "LOS>3" was added.